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HomeMy WebLinkAbout1000-70.-12-26.2 TOWN OF SOUTHOLD Rental Permit 1034 Owner Paul & Mary Jane Mastrella Occupied as Single Family Dwelling Located at 760 Oakwood Drive Southold 70.-12-26.2 Maximum Permitted Occupancy 8 Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection. 12/12/2023 Code Ery or ement OffidAl This Notice must be posted by the main entrance at all times Y � TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 hU :// s�uffiol torn���py RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must be renewed every two years] N 0 V P 1 '02 Section A. Property Information: Rental Property Address: b CAL. '.v Tax Map Number: 1000 SECTION -1 Q -BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: C Property Owner Legal Address: Property Ov6ner'Mailing Address: (Cannot be the same as Rental Property Address) . Telephone Number(s): Daytime " ` evening Emergency '->-) \-- Property Owner Email Address: " °" C\ �` - '�S_ C' A", (� CN o �� 0300 I � G i C)&a5-) Page 1 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B, C);the use of each room in the Rental Dwelling Unit (for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each ` f room. For properties with multiple Rental Dwelling Units use "Rental Permit Application Addendum." ` Rental Dwelling Unit Identifier: ' Requested Maximum number of persons allowed to occupy Dwelling Unit:A tx (� Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: V\� Al�Y• 1 X SECTION G. INSPECTION: " Pursuant to the Town,Code of the Town of Southold Chapter 207 (Rental Properties), a safety inspection by Code Enforcement Official is required. If the owner chooses not to have said inspection performed by the Town, a certification from a licensed architect, a licensed professional engineer or a home inspector who has a valid New York State Uniform Fire Prevention Building Code Certification is required stating that the property which is the subject of the rental permit application is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) 1 ate' �-- ��� 7 C- certify under penalty of perjury,the following: 1. 1 am the owner of the property identified in "Section A" of this application. 2. The property owner's legal address set forth in "Section B" of this application is my legal address and I understand the Town will use the address for service pursuant to all applicable laws and rules. I further acknowledge that I will notify the Town of Southold Building Department of any changes of address within five (5) days of any changes thereto. 3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and agreed to abide by the same. d 4. 1 will notify the Town within five (5) business days s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: G`-.0 ` G, T'fe\� q Property Owner's Signature: . Sworn to for m this 31 day o dm 6y- , 2023 Official Notary Pub atur and Original Notary Stamp CIRIA NiNOSKA MIRANn�� Notary Public,State of New York No.01 M16264205 (`fit,alified in Otjppns County Cort'&wtYjssiuii E=x(mt:,,Rune cb,20� Page 4 of 4 qf so TOWN OF T X31 -765-1802 70 6 INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI ] FRAMING / STRAPPING [ ] FINAL ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! C ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O REMARKS: g ,. - , DATE INSPECTOR Town Hall Annex Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 171 Q-1 Southold, NY 11971-1179 4 Tel: 631-765-1802 S - Date CTM# . . � ..��...... . __.M_... .,..... .. ..__ . .. ._ _._ _.. . .._ ..... ..._., 'Owner Phone Address ' Visible ..w..... ... . .. .. Inspector p Hamlett �, ... Floor Level Quantities 1 2 ...._ 3..........' Smoke .._. s ( o ...._ ..rc. in bedrooms) Carbon MonoxiiideD Detectors .,.. Fire .... ..". "�._.... _._ _ .. Extinguishers Exits Bedrooms Smoke Detectors - Egress u Occupant Count Building Systems Maintained & Operational Condition of Property Heating Building interior _ Hot waterl ding exterior Bui Electrical Property clean, maintained & safe Mechanical Handrails &guards installed & secure Pool Safety Pool on Site Surface water alarmDate of CO issuance .e. . .. ,.. . �. .. ...r,..,. _. . larms Pool completely enclosed Door / latching w gates - - g Pool fence to code requirements Self closing CO's for all items present al Prior Rent . .men SOWN OF SOUTHOLD PROPERTY RECORDj� WNE 'S REE 7 VILLAGE DIST, 1 SUB. LOT a FORMER OWNEIR,77 t w _ N E ACR. 4. - 3�h SW TYPE OF BUILDING a- } RES, SEAS. VLFARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL i DATE REMARKS 3 I 3 . o ' =J i I ; I P# t € i i Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD E � Meadowland I DEPTH House Plot BULKHEAD Total i a RAkr – - – IL J— S : t 70-12-26.2 02/02 e i M. Bldg y � _ 2 Extension -- — _- Extension ! Extension e. Foundation Bath _ r Porch Basement Floors 3 a Porch Ext, Walls I = Interior Finish Breezeway I Fire Placa Hest _ .,� Roof €QorGarage Patio Recreation Rocco, loon-is 2nd F!c��r _ e 0. B. ; �� � Dormer Drivew ,' TotalF FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27943 Date: 03 13 0 THIS CERTIFIES that the building NEW DWELLING Location of Property: 760 OAKWOOD DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 12 Lot 26.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 11 1000 pursuant to which Building Permit No. 27025-Z dated jhWARY 22 2001 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING � �" O PORCH AND ATTACHED TWO CAR GARAGE AS APPI41ED FOR. The certificate is issued to JOSEPH MURO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0182 0901zLn ELECTRICAL CERTIFICATE NO. 1963 08/30/01 PLtMERS CERTIFICATION DATED 22LPO I G.A.H1 PLUMBING +A�u /11 ignatture Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Ball Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33106 Date_ 06 18 08 THIS CERTIFIES that the building ADDITION Location of Property: 760 OAKWOOD — SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 4738'4 9 Section 70 Block 12 Lot 26.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 181 2008 pursuant to which Building Permit No. 33667-Z dated FEBRUARY 4.. 200$ was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION WITH SPA TO AN EXISTING, ONE FX ILY DWELLING kLRD FO The certificate is issued to JOEL & DONNACA°4"ANIA . ,. ....,...� (OWNER) _w.. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL /A ELECTRICAL CERTIFICATE NO. 4001191 OS 27 08 PLUMBERS CERTIFICATION DATED N�A t.h i.red igusture Rev_ 1/81 FORM NO. 4 TOWN OF SOt7THOLD Bt7ILDTNG VEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY 4IS Date: 0O4 Noe Z-3`0'136 . __ ..... THIS: CEitTZ ITS that the building ACCESSORY Locatiah', of Prdpez-t c 760 OAKWOOD DR SOUTHOLD (HOUSE USES Ido.) (STREET) (RAKLtZ, County Tax Map No. 47j889 S4dtion 70 Block 12 Lot 26.2 Subdivision Filed Map No. Lot No. conforms subotantially to the Application for Building Permit heretofore filed in this office dated MAY 12, 2003 pursuant to which BUtilding Pexmit No. 29428-Z dated MAY 271 200a was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY rNGROUND SWIMMING 'POOL WITH PENCE TO CODE AS APPLIED, 1 R. The cettificate is issued to THOMAS & IA'rHLEEN LONG III (OWNER) of the aforesaid building. SUFFOLK COUNTY 'DEP'ARTMC OF HEALTH APFROVAI. NLA._ ELECTRICAL CERTIFICATE NO. 77547C 07111/03 PLUMBERS CERTIFICATION DATED N/A i ..Authorized Signa i ... . .._.� Rev. 1/81 21 I�A -ell 3 j V- 24*11 a f"O 7 =oz.